Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver

Hepatocellular carcinoma (HCC) generally occurs on the background of chronic liver disease. Chronic hepatitides B and C and alcoholic liver disease are well-known risk factors for HCC, and it is uncommon in noncirrhotic liver. Extrahepatic metastasis seldom occurs in patients with early stage intrah...

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Main Authors: Soo Ya Bae, Hyun Jung Kim, Hyun Ho Oh, Min Kwan Kwon, Jong Ho Lee, Moon Park, Byeong Seok Sohn
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2015/512849
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author Soo Ya Bae
Hyun Jung Kim
Hyun Ho Oh
Min Kwan Kwon
Jong Ho Lee
Moon Park
Byeong Seok Sohn
author_facet Soo Ya Bae
Hyun Jung Kim
Hyun Ho Oh
Min Kwan Kwon
Jong Ho Lee
Moon Park
Byeong Seok Sohn
author_sort Soo Ya Bae
collection DOAJ
description Hepatocellular carcinoma (HCC) generally occurs on the background of chronic liver disease. Chronic hepatitides B and C and alcoholic liver disease are well-known risk factors for HCC, and it is uncommon in noncirrhotic liver. Extrahepatic metastasis seldom occurs in patients with early stage intrahepatic HCC and isolated bone metastases as a first documented extrahepatic metastasis is unusual presentation. In this report, we present a rare case of small solitary HCC (<3 cm) in noncirrhotic liver, presenting isolated bone metastases as a sole manifestation in patient with no well-known risk factors. This case suggests that HCC should be considered as one of differential diagnoses in patient presenting with multiple bone metastases, even in the absence of liver cirrhosis.
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institution Kabale University
issn 2090-6706
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Oncological Medicine
spelling doaj-art-5ce39889dd244564972529a88baabaad2025-02-03T07:25:44ZengWileyCase Reports in Oncological Medicine2090-67062090-67142015-01-01201510.1155/2015/512849512849Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic LiverSoo Ya Bae0Hyun Jung Kim1Hyun Ho Oh2Min Kwan Kwon3Jong Ho Lee4Moon Park5Byeong Seok Sohn6Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Pathology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 139-707, Republic of KoreaHepatocellular carcinoma (HCC) generally occurs on the background of chronic liver disease. Chronic hepatitides B and C and alcoholic liver disease are well-known risk factors for HCC, and it is uncommon in noncirrhotic liver. Extrahepatic metastasis seldom occurs in patients with early stage intrahepatic HCC and isolated bone metastases as a first documented extrahepatic metastasis is unusual presentation. In this report, we present a rare case of small solitary HCC (<3 cm) in noncirrhotic liver, presenting isolated bone metastases as a sole manifestation in patient with no well-known risk factors. This case suggests that HCC should be considered as one of differential diagnoses in patient presenting with multiple bone metastases, even in the absence of liver cirrhosis.http://dx.doi.org/10.1155/2015/512849
spellingShingle Soo Ya Bae
Hyun Jung Kim
Hyun Ho Oh
Min Kwan Kwon
Jong Ho Lee
Moon Park
Byeong Seok Sohn
Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
Case Reports in Oncological Medicine
title Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
title_full Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
title_fullStr Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
title_full_unstemmed Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
title_short Multiple Bone Metastases as the First Manifestation of Hepatocellular Carcinoma in Patient with Noncirrhotic Liver
title_sort multiple bone metastases as the first manifestation of hepatocellular carcinoma in patient with noncirrhotic liver
url http://dx.doi.org/10.1155/2015/512849
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